Alcohol use among women attending antenatal care in Buffalo City, Eastern Cape
- Authors: Bredenkamp, Petrus Johannes
- Date: 2022-04-07
- Subjects: Uncatalogued
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/234358 , vital:50188
- Description: Alcohol use during pregnancy is known to cause neurodevelopmental disorders in offspring, known as Fetal Alcohol Spectrum Disorders (FASD). High prevalence of FASD has been observed in certain parts South Africa, but many areas of the country remain unstudied, and factors contributing to drinking among pregnant women are poorly understood. This study surveyed 1099 women attending antenatal care at public primary healthcare facilities in the Buffalo City Metropolitan Area in the Eastern Cape. Data was collected using the Alcohol Use Identification Test, a 10-item self-report measure of drinking behaviour in isiXhosa, English, and Afrikaans. Factors associated with alcohol use, risky drinking, binge drinking, and hazardous/harmful drinking were identified using logistic regression. A minority of the sample reported alcohol use (64%). Among those reporting alcohol use, most reported occasional binge drinking (63%) and met criteria for risky drinking (59%) and hazardous/harmful drinking (52%). Living with a regular drinker was significantly associated with alcohol use (OR 1.98, 95% CI 1.51 – 2.58), risky drinking (OR 2.03, 95% CI 1.49 – 2.76), binge drinking (OR 2.21, 95% CI 1.64 – 2.97), and hazardous/harmful drinking (OR 2.0, 95% CI 1.41 – 2.99). However, women who were married/cohabiting were less likely to report alcohol use (OR .71, 95% CI .53 - .95). Experiencing intimate partner violence during the current pregnancy was associated with alcohol use (OR 2.42, 95% CI 1.38 – 4.27) and hazardous/harmful drinking (OR 2.62, 95% CI 1.32 – 5.22). In this study, women who identified as Coloured were more likely to report alcohol use than Women who identified as African (OR 2.74, 95% CI 1.4 – 5.36). These findings simultaneously provide evidence of problematic drinking among pregnant women in a previously understudied area and show that external factors affect women’s drinking behaviour during pregnancy. Interventions aimed at reducing the incidence of FASD should consider alcohol use by pregnant women in the context of their lived experiences. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
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- Date Issued: 2022-04-07
The forensic mental health profile of women offenders in the Eastern Cape, South Africa
- Authors: Nagdee, Mohammed
- Date: 2020
- Subjects: Female offenders -- Mental health , Female offenders -- South Africa -- Psychology , Female offenders -- South Africa -- Mental health , People with mental disabilities and crime , Women murderers -- South Africa , Forensic psychology -- South Africa , Fort England Psychiatric Hospital
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/167109 , vital:41438
- Description: Introduction There is a dearth of research on mental health issues in women offenders in South Africa, especially regarding their socio-demographic backgrounds, offence characteristics, and forensic mental health profiles. Objectives This study examined the psychosocial and forensic mental health profile of women offenders referred by eastern Cape courts for forensic evaluation. A range of socio-demographic, criminological, clinical and forensic mental health variables were systematically explored. Methods A bi-phasic, mixed methods study design was adopted. The clinical and forensic records of all women referred for forensic evaluation to Fort England forensic psychiatric hospital in the Eastern Cape, South Africa were retrospectively reviewed, comprising 173 individual cases in the study period of 1993-2017. Inferential statistical analyses (chi-squared and multivariate logistic regression) were applied to explore relationships between variables and offending outcomes of nterest. Detailed semi-structured interviews were subsequently conducted with a sub-sample of 8 women with mental disorder and violent offending ackgrounds. Interview transcripts thematically analysed. Results Most women came from impoverished and disadvantaged backgrounds. Whilst the majority were first offenders, a high proportion had violent index offences, with murder, attempted murder and assault with intent to do grievous bodily harm accounting for over half of cases. The majority of victims of violence were well known to the perpetrator, especially as biological children, intimate male partners or close family members. Biological children in their first year of life were particularly vulnerable to being victims of homicidal violence. Disproportionately high rates of pre-offence mental illness, alcohol misuse, HIV infection and prior abuse of the offender (especially by intimate male partners) were present. High rates of severe mental disorders (especially psychiatric comorbidity and psychotic-spectrum disorders), and relatively low rates of personality disorders and substance disorders were diagnosed. The majority of women were declared to lack trial competence and criminal capacity, respectively, following forensic evaluation. Women who had backgrounds of prior abuse themselves had over three mes the odds of subsequent violent offending in general, and almost six times the odds of homicidal offending in particular. Homicidal offences were significantly more commonly committed by women with no prior psychiatric history and no psychiatric comorbidity. Women who committed homicide had over eleven times of killing children as opposed to adults. Women over the age of 30 years, and those without psychiatric comorbidity, were significantly less likely to have killed children. Thematic analysis of interviews emphasized the important roles played by gender, self-image, and mental health in violent offending pathways. Conclusions A complex array of socio-demographic, criminological, clinical and forensic variables interact in women offenders of the Eastern Cape referred by courts for forensic evaluation. Exploration of these factors improves understanding of the broader psychosocial context of female offending, and of the personal experiences of the women themselves. This in turn provides an enhanced gender-focus to guide the progressive changes required in policy, legislative, clinical and research endeavours in this field.
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- Date Issued: 2020
The lived experiences of women with human immunodeficiency virus (HIV) in Malawi: an interpretative phenomenological analysis (IPA)
- Authors: Nkhalamba, Mathero Michelle
- Date: 2020
- Subjects: HIV-positive women -- Malawi , HIV infections -- Sex factors -- Malawi , HIV infections -- Social aspects -- Malawi , HIV-positive women -- Malawi -- Social conditions , HIV-positive women -- Malawi -- Economic conditions , Poverty -- Malawi , Antiretroviral agents -- Malawi , Phenomenological psychology
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/145291 , vital:38425
- Description: Research on African women and HIV, particularly research that investigates their experiences of living with the virus, has been relatively peripheral. As a response to the apparent knowledge and research gaps, this project is a qualitative study involving women living with human immunodeficiency virus (WLHIV) and attending an anti-retroviral treatment (ART) clinic at Zomba Central Hospital in Southern Malawi. The study utilised an interpretative phenomenological analysis (IPA) approach, which informed all aspects of the data-collection and data-analysis processes. Using purposive sampling, 12 women were recruited and interviewed on three occasions over a period of six months. The interviews were conducted in Chichewa and audio recorded and later transcribed into English. Fourteen superordinate themes emerged from the analysis representing the women’s prominent life experiences, how they received their diagnosis, and how they contained the trauma of their diagnosis. The analysis also developed themes regarding how they coped with the challenges of living with the human immunodeficiency virus (HIV) and made sense of their experiences. The results showed that the women struggled with multiple challenges experienced through their various identities as WLHIV. The findings also pointed to interlocking disadvantages that put the women at risk of infection, and which were present from childhood. This has implications for more structural and multidisciplinary interventions for WLHIV.
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- Date Issued: 2020
‘This sea of darkness, craziness and opportunity’: students experiences of depression and social identities at a South African university
- Authors: Craig, Ashleigh
- Date: 2020
- Subjects: Depression, Mental -- South Africa -- Makhanda , Depression in adolescence -- South Africa -- Makhanda , College students -- Mental health -- South Africa -- Makhanda , Group identity -- South Africa -- Makhanda , Phenomenological psychology , Education, Higher -- Social aspects -- South Africa , Rhodes University
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/118632 , vital:34655
- Description: This study explores how the interaction between depression and social identities is experienced by South African university students. Semi-structured interviews were conducted with eight students at Rhodes University who have had depressive experiences and analysed using Interpretative Phenomenological Analysis. The following five superordinate themes emerged out of the data: 1) the self looking in, 2) the self looking out, 3) the misunderstood self, 4) the student self and 5) the loss of self. Findings showed that students’ depression is significantly influenced by their social identities, which are experienced as multi-faceted and ever-changing within the university context. The related therapeutic implications are also discussed.
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- Date Issued: 2020
A local portrait of South African counselling psychologists’ endorsement of the values and scope of practice of their profession in relation to their career satisfaction
- Authors: Ngobeni, Nhlori
- Date: 2019
- Subjects: Counseling psychology -- South Africa , Counseling psychologists -- South Africa , Psychology -- South Africa , Psychologists -- South Africa
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/94350 , vital:31038
- Description: The 2011 revision to the scope of practice of counselling psychology in South Africa has renewed debates about what is it that should distinguish counselling psychology as a distinctive area of practice and research in South Africa. This study reports the findings of a survey of a sample of 228 South African registered counselling psychologists, including the extent to which they endorse the traditional values of their category, the extent to which they endorse the current scope of practice for counselling psychology, and measures of career satisfaction. Findings are that women and white practitioners comprise the large majority of the category. Counselling psychologists strongly endorse most of the traditional values of the category and are generally highly satisfied with their careers. Surprisingly, given these findings, only a large minority indicate that they would choose counselling psychology again knowing what they know now. Most significant, the findings of a multiple regression analysis indicate that endorsement of the scope of practice most strongly predicts career satisfaction scores, followed closely by black racial identification, years of experience, and then endorsement of counselling psychology values. Logistic regression analysis to predict which counselling psychologists would choose counselling psychology again knowing what they know now, revealed that only endorsement of counselling psychology values and endorsement of the scope practice made a significant contribution to predictions. This study provides a snapshot of the current status of South African counselling psychology today and it remains that in the next ten years, there will be significant changes as the category changes across the globe.
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- Date Issued: 2019
An interpretative phenomenological analysis of HIV positive individuals’ experiences of being in a support group
- Authors: Brink, Nicole
- Date: 2018
- Subjects: HIV-positive persons -- Social aspects Self-help groups AIDS (Disease) -- Patients -- Counseling of AIDS (Disease) -- Social aspects
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62988 , vital:28351
- Description: People who have been diagnosed HIV positive often experience distress and anxiety due to uncertainties pertaining to the implications of an HIV positive status. Research has shown that support groups have always been a way for people to cope with the distress and stressful circumstances associated with health conditions such as HIV. This research investigated the role of face to face support groups in the lives of those living with HIV. The primary focus of this research project is to provide an in-depth exploration of HIV positive individuals‟ experiences of being in a support group. The study aims to explore the positive and negative experiences of being in an HIV support group and aims to gain an understanding of the role support plays in the lives of those living with HIV. A qualitative research design was used to explore the above mentioned aim. Semi-structured interviews were conducted with five individuals, (three women and two men) who had experienced HIV support groups. The interviews were transcribed and then analysed according to the principles of interpretative phenomenological analysis (IPA). The findings of this study revealed five super-ordinate themes, which revealed not only the positive and negative experiences of being in a support group, but also the challenges that the participants‟ experienced before joining the group. Getting a sense of the participants‟ experience before joining the group allowed the researcher to get a better understanding of how useful or not the support group has been in helping them deal with the challenges of living with HIV. The themes included: „struggling to survive after diagnosis‟, „struggling to cope: adopting negative coping skills‟, „experiencing a turning-point: a will to survive‟, „attending support group: a sweet experience‟ and lastly, „attending support groups: a bitter experience‟. Findings suggest that for these participants, the advantages outweighed the disadvantages of being in a support group. Therefore this study suggests that face to face support groups are a viable and even necessary option for support. These findings support previous research and literature in regards to the importance of social support in the form of support groups in effectively assisting HIV positive people in their journey to adjust to the consequence of living with HIV.
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- Date Issued: 2018
Judging psycholegal reporting in civil court proceedings in the Eastern Cape
- Authors: Marais, Claire Anne
- Date: 2018
- Subjects: Court proceedings -- South Africa -- Eastern Cape , Evidence, Expert -- South Africa -- Eastern Cape , Forensic psychology -- South Africa -- Eastern Cape , Quality Rating Scale (QRS) , Psycholegal reporting -- South Africa -- Eastern Cape
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62999 , vital:28352
- Description: Purpose: The primary purpose for this research was to evaluate the quality of psycholegal reports, and the qualification of the authors. Previous research had revealed generalised poor practices in psycholegal report writing and the authors seemed unqualified as expert witness. This negatively influenced the impression and usefulness of expert psychological opinion in South African courts. The secondary purpose was to compare the results to those determined by Ireland (2012), which was a useful benchmark study in the UK as her findings corresponded with the literature. Method: This archival research analysed a hand-search sample of 20 reports written by 20 psychologists based nationally. These reports were submitted as expert opinion in civil proceedings in the Grahamstown Division of the Eastern Cape High Court between 2011 and 2016. Ireland and Pinschof’s (2009) measure ‘Quality Rating Scale’ was adapted for a South African context and used to evaluate quantitatively the reports. Focus was on the reports’ contents (fact and opinion), methods, process and overall rating, and the qualification of the authors. Results: Overall, two-thirds of the reports were rated as ‘good’ and ‘very good’. The results were generally more positive than Ireland’s (2012) findings. However, there were practices in the report writing that were deemed detrimental to the quality of the expert’s opinion. This included vague referral questions and unclear basis for concluding opinions and diagnosis. There was also a lack of discussions surrounding the scientific trustworthiness of testing methods and absent ethical considerations. Lastly, the specialised expertise of the experts was not adequately documented. Conclusion: The findings painted a more positive picture of psycholegal reporting in South Africa than illustrated in previous research, which seemingly relied on anecdotes and subjective surveys. This study used a systematic and objective measure. The findings of this study, previous research and ethical Rules of Conduct were used to consider recommendations for psycholegal report writing, and the improvement of the field of psycholegal work. Lastly, the focus of future research was discussed.
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- Date Issued: 2018